Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
HV07849A WASHINGTON UNIVERSITY IN ST. LOUIS

Covered Entity Details

Entity Name

WASHINGTON UNIVERSITY IN ST. LOUIS

Subdivision Name

Washington University Infectious Diseases Clinic North County

Type

Ryan White Part C

340B ID

HV07849A

Entity Address

1 VILLAGE SQ SHOPPING CTR
SUITE 1
HAZELWOOD, MO 63042-1817

Grant Number

H76HA07849

Participating Start Date

1/1/2023

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

BOND DRUG COMPANY OF ILLINOIS, L.L.C.

Pharmacy Address

DBA: WALGREENS # 04024
5890 NORTH BELT WEST
BELLEVILLE, IL 62226

Pharmacy Comments

Contract Details

Approval Date

10/24/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Tina M Markovich, Program Director
(314) 747-3071

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/15/2022

340B Drug Pricing Program Database